COASTAL ROOTS PSYCHIATRY, LLC

NORTH BEND, OR
NPI1417785569
Entity TypeOrganization
Authorized ContactASHLEY ANNE PHILLIPS
Pmhnp
541-294-7215
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2024-07-22
Last Update Date2024-07-22
Business Address
COASTAL ROOTS PSYCHIATRY, LLC
1290 FORD LN
NORTH BEND, OR 97459-2444
Phone number: 541-294-7215
Mailing Address
COASTAL ROOTS PSYCHIATRY, LLC
1290 FORD LN
NORTH BEND, OR 97459-2444
Phone number: 541-294-7215
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